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Cdph 325 2026
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- Click ‘Get Form’ to open the cdph 325 in the editor.
- Begin by entering the Licensee name, Date, Facility name, and Facility address. Ensure all details are accurate for proper identification.
- In the 'L&C USE ONLY' section, fill in the Last Name, First Name, Date of Birth (mm/dd/yy), and Social Security Number. This information is crucial for background checks.
- Specify the Position/Title of the individual being cleared. This helps in categorizing their role within the facility.
- Indicate if HAL Verification has been obtained by checking 'Yes' or 'No'. Include any Prior Conviction Date if applicable.
- Fill in the Date of Hire and ensure you sign and date at the bottom of the form to validate your submission.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4.8 Satisfied (272 Votes) |
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Jan 1, 2026 California Department of Public Health. 325. Issue to Address. Current Applicable. Legislation, Statute, Law. Current Compliance Requirements.Read more